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8 Ideas from the Breakout Sessions
Pages 91-96

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From page 91...
... Participants in the other session discussed the financing and other policy issues associated with integrating suicide prevention into care for people with serious mental illness. CREATING MOMENTUM AT THE STATE LEVEL Oscar Morgan, project director for the Central East Mental Health Technology Transfer Center, who reported for the first breakout session, noted that many important observations made by individuals participating in the breakout session have been operationalized by the National Action Alliance for Suicide Prevention in its report Crisis Now: Transforming Services Is Within Our Reach.1 Extending these observations, participants in the breakout session discussed the possibility that the Substance Abuse and Mental Health Services Administration (SAMHSA)
From page 92...
... Perhaps the state secretaries of health and human services would be the most appro­ riate recipients of such letters, though engaging the nation's p governors would also be "critically important." In this regard, Christine Moutier, chief medical officer of the American Foundation for Suicide Prevention, noted that it has been building a mechanism to encourage all of the states to have a state suicide prevention day in which all the evidence and needed steps could be presented at the state level. TRANSITIONS IN CARE AND BUNDLED PAYMENTS The participants in the second breakout session spent much of their time discussing transitions in care -- and in particular the transition from an emergency department contact or a psychiatric hospital into the community.
From page 93...
... "That's a piece that we don't know as much about." McKeon added that bundled payments would be "useful and important." In addition, they would provide an opportunity to learn from inno­ vations and move forward. For example, different people have different needs, and some of these needs could be met at little cost, such as text message interventions, while other needs may require face-to-face contact or home visits, "presuming that you have a home." COMMENTS ON IDEAS FROM THE BREAKOUT SESSIONS As part of the plenary session following the breakout session, workshop participants commented on several issues raised during the breakout discussions and earlier in the workshop.
From page 94...
... Shari Ling, Deputy Chief Medical Officer, CMS, advocated identifying bright spots that are working "no matter where they are." Integrated care offers tremendous opportunities, she said, but people working today have worked out important parts of the answer, and "we can learn from what is working." Julie Goldstein Grumet, director of health and behavioral health initiatives at the Suicide Prevention Resource Center and director of the Zero Suicide Institute at the Education Development Center, described seeing many best practices and good outcomes occurring on the local level, "but people have a hard time publishing those results and sharing those practices." As a result, these practices and outcomes remain siloed and hidden. One solution would be for journals to reach out and solicit articles about the intersections of people with serious mental illness and suicide.
From page 95...
... In addition, Hogan observed that the Interagency Serious Mental Illness Coordinating Committee was considering some of these issues at the same time as the workshop, and it may be a valuable partner in considering these issues. The National Mental Health and Substance Use Policy Laboratory is another innovation-oriented organization that could help drive policy changes.

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